Life, health and accident insurance

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Individuals seeking Social Security disability income benefits must have a disability that will eventually lead to death, or be expected to last at least

12 months

(always get wrong) How long is individual medical expense insurance normally written for?

1 year

Premature IRA distributions are subject to a penalty tax of

10%

In Connecticut, a temporary license may be issued for a period not to exceed __ days

180 days

An insured must notify an insurer of a medical claim within how many days after an accident

20 days

How many employees must an employer have for the Consolidated Omnibus Budget Reconciliation ACT of 1985 (COBRA) to apply

20 or more

(always get wrong) Non qualified medical expense distributions from a Health Savings Account (HSA) have a tax penalty of

20%

Social Security disability income requirements state that in order to become fully insured on a permanent basis, you must have worked in a covered occupation for

40 quarters

(always get wrong) A life insurance policy can be backdated before the application date for up to

6 months

What is the actuarial value of a bronze level health plan?`

60

Which of the following is NOT a valid contract exchange?

An annuity exchanged for a life insurance policy

Which of the following situation would allow funds to be deposited into a rollover IRA?

An employee quits her job and receives $50,000 from her qualified plan.

What qualifies as acceptance of an insurance contract offer?

An issued policy

Which is an accurate description of the premium in a graded premium life insurance policy's

Annual increase in premium for a stated number of years then remains level

A description of a qualified plan's insurance contract may be found in which ERISA reporting form

Annual return/report (Form 5500)

During the liquidation phase of an annuity contract, to whom are the income benefits normally payable to?

Annuitant

Kevin has an existing life insurance policy and assigns it to another insurer for a new contract. How would this transaction be treated for tax purposes?

As a section 1035 exchange

Accident and health insurance claim handling is made more convenient to the insured by utilizing

Assignment of benefits

Accident and health insurance claim handling is made more convenient to the insured by utilizing

Assignments of benefits

In the event of premium default, which life insurance provision will use the cash value to keep the policy in force?

Automatic premium loan

(always get wrong) A producer must secure an appointment with an insurer

Before soliciting insurance applications for that insurer

Which of the following statement BEST describes a double indemnity provision in travel accident insurance?

Benefits are doubled under certain circumstances stated in the policy.

Who normally pays the premiums for group credit life insurance

Borrower

A producer recently replaced an existing Medicare Supplement Policy with a new policy. The producer's compensation for the new policy.

CANNOT exceed the renewal commission of the original policy

Which of the following is NOT an allowable exclusion for long-term care insurance policies?

Care for incurable conditions

an accident and health insurance policy's premium requirements are set forth in which of the following provisions?

Consideration clause

An ______ is a licensee who changes a fee for contracted insurance advisory services.

Consultant

The business of life settlements may include all of the following except

Conversion of Term Life insurance contracts

What effect does interest income have upon insurance premiums

Decrease premium

Which annuity allows contributions to an IRA?

Deferred

For purposes of disability income insurance, earned income would include all of the following EXCEPT

Dividends

(always get wrong) An employer has a group life coverage for his employees. How would an employee in poor health be treated in this situation?

Eligible for the same type of coverage as the other employees

Which statement concerning an adjustable life insurance policy is FALSE?

Evidence of insurability is required when there is a change in premium

How are benefits payments from individually-owned medical expense expense policies treated for tax purposes

Except from income taxes

An officer for a corporation takes out numerous unsecured loans from the company's qualified retirement plan. Which of these rules is the plan in violation of? Key employee rule Top heavy rule Vesting rule Exclusive benefit rule

Exclusive benefit rule

Where does the primary funding for Medicare Part A come from

Federal payroll and self-employment taxes

When an annuity contract has been fully surrendered, how will the surrender charges affect the final contract settlement?

Final contact settlement will be reduced

Major medical policies are typically characterized by which of the following?

Flat deductible

The "Use it to lose it" rule applies to

Flexible Savings Account

which of these is Not a factor during the health insurance underwriting process

Former residence

According to the Affordable Care Act (ACA), insurers can no longer deny health coverage due to pre-existing conditions unless that plan is an

Grandfathered plan

(always get wrong) Tom has a qualified retirement plan with his employer that is currently to be 80% "vested". How can this be interpreted?

If Tom's employment is terminated, 20% of the finds could be forfeited

The unwritten authority given to a producer to carry out necessary incidental acts of the agency agreement is called

Implied authority

(always get wrong) Which life insurance clause prohibits an insurance company from questioning the validity of the contract after a stated period of time has passed

Incontestable clause

Which life insurance clause prohibits an insurance company from questioning the validity of the contract after a stated period of time has passed?

Incontestable clause

All of these are considered features of whole life insurance EXCEPT

Initial premium is lower than for an equivalent amount of term insurance

Which health policy clause specifics the amount of benefits to be paid?

Insuring

When a policy loan is requested by a policy owner and it requires the consent of the beneficiary, what kind of beneficiary designation is this?

Irrevocable beneficiary

After the initial enrollment period for Medicare Part B has expired, when may an individual purchase again?

January through March each year

Which of these is NOT a common life insurance nonforfeiture option

Life income annuity

What is covered under a limited accident and health insurance policy?

Limited perils and amounts

A MET third-party administrator may NOT perform which of the following functions?

Marketing the plan

Medicare Part B excess charges are covered by

Medicare supplemental insurance

A life policy that has premiums that one lower than normal during the early years called

Modified life

Specialty care is provided by which of the following health maintenance organization (HMO) providers?

Neurologist

(always get wrong) Which statement best describes a single premium whole policy?

Paid-up policy that offers lifetime protection

Which statement best describes a single premium whole life policy?

Paid-up policy that offers lifetime protection

A policy owner suffers an injury that renders him incapable of performing one or more important job duties. Any decrease in income resulting from this injury would make him eligible for benefits under which provision?

Partial disability

(always get wrong) Which of the following is a TRUE statement regarding universal life insurance?

Policy indicates how much of each premium is used toward company expenses

What happens to a life insurance policy when the policy loan balance exceeds the cash value?

Policy will no longer be in force

(always get wrong) According to the law of large numbers, how would losses be affected if the number of similar insured units increases

Predictability of losses will be improved

(always get wrong) Any of the following may be an unfair claims practice EXCEPT

Refusing to pay persons bringing false or fraudulent claims

Where is the difference between a standard risk and substandard risk reflected

Premium charges

How are level term policies able to provide level premiums?

Premiums are averaged over the term of the policy

(always get wrong) Home health care benefits typically do NOT include coverage for

Prescription medication

(always get wrong) When a producer submits an application that discloses personal information regarding the applicant, who supples the privacy notice?

Producer

A producer's authority to bind an insurer to an insurance contract may be granted in the

Producer's appointment with the insurance company

Splitting the commission with the buyer on a sale of insurance is known as

Rebating

(always get wrong) what could be the potential result of taking out a cash value loan under a life insurance policy?

Reduces the amount receivable upon surrender of the contract.

(always get wrong) Which of the following is NOT included as a hospice benefit under a major medical plan?

Rehabilitation

Which of the following is NOT included as a hospice benefit under a major medical plan?

Rehabilitation

An insurer has a contractual agreement which transfers a portion of its risk exposure to another insurer. What type of contractual arrangement is this?

Reinsurance contract

(always get wrong) Which of the following is NOT a basic underwriting action for accident and health insurance

Removing uniform policy provisions

When an insurer markets its Medicare Supplement products in Connecticut, which method is acceptable

Replacing an existing policy with one that has greater benefits

According to the IRS, a company may NOT do which of the following in regards to funds in a qualified retirement plan?

Repossess the funds for business purposes

The inability to perform SOME of the duties of one's own occupation is known as a

Residual disability

What kind of arrangement gives the policy owners the right to change the beneficiary?

Revocable designation

(always get wrong) Which term describes the elimination of a hazard?

Risk avoidance

Medicare Part A covers which type of care?

Skilled nursing facility care

What would be the disadvantage of naming a trust as beneficiary of a life insurance policy?

Trust administration fees would reduce policy proceeds

Which life insurance policy provision prohibits a beneficiary from "commuting, encumbering, withdrawing, or assigning" any portion of the proceeds prior to actual receipt from the company?

Spendthrift clause

Deductible

The amount you pay for covered health care services before your insurance plan starts to pay.

Why might it be beneficial for an employee to purchase private disability income insurance for workplace injuries when he/she is already covered by worker's compensation

The benefits arising from a workers compensation claim could be inadequate to replace the loss of income

Which item must be considered by a producer when determining the suitability of an annuity recommendation?

The client's financial status

When disability buy-sell insurance benefits exceed a partner's cost basis, which of the following is correct?

The full-amount is non-taxable to the partner

Which of these is a typical result of a concurrent review?

The length of time spent in the hospital is monitored

Taxable income may be the result from all of those modified endowment contract (MEC) transactions EXCEPT for

The policy surrendered for less than what was paid into it

How is a collateral assignment used in a life insurance contract?

Transfer specific ownership rights to a creditor

What is the face amount of a $50,000 graded death benefit life insurance policy when the policy is issued?

Under $50,000 initially, but increases over time

(always get wrong) An agent gives a conditional receipt to a client for an insurance policy after collecting the initial premium. When will the policy become effective?

When the conditions of the receipt are met

Under which circumstance is the interest rate guaranteed within a market value adjusted annuity?

When the contract has been held for the period specified in the policy

(always get wrong) Which event triggers a deferred annuity to start making benefit payments to the annuitant?

When the contract is annualized

If the basic illustration is not provided, an insurer MUST provide a policy summary to a prospective insured at which of the following times?

When the policy is delivered

(always get wrong) Pete is covered by a group health insurance plan which covers employees in multiple states. This plan is governed by the laws of which state?

Where the master contract was issued

(always get wrong) When an insured under a group life insurance plan in Connecticut elects the conversion option, the new policy is issued

Without requiring evidence of insurability

Which of these is NOT an advantage of term life insurance?

a cash benefit will be provided if the insured is alive at the end of the policy period

The absolute assignment of a life insurance policy results in

all incidents of ownership transferred to the assignee

Misrepresenting pertinent policy provision relating to coverage after a loss is

an unfair discrimination between individuals

(always get wrong) If a disability income policy contains a cost-of-living adjustment rider, benefits must typically be increased

at least one per year from when benefits begin

(always get wrong) Pat is covered by a disability income insurance policy that covers disabilities arising from a work related illness or injury. The amount of his disability income payments for an on-the-job injury may be reduced by

benefits paid under workers compensation

Which of the these is NOT a true statement of the war exclusions

civil insurrections apply

A producer who attempts to intimidate is engaging in

coercion

What does a Mandatory Second Surgical Opinion provision provide to an employer-paid health insurance plan?

containment of the employer's premium cost

Reductions in coverage are one feature of ____ in Health insurance policies.

cost containment

(always get wrong) Any employee insured under a group life insurance plan is normally

covered with term life insurance

The amount of a covered loss to be paid by the insured before a major medical expense policy begins to pay is called the

deductible amount

An employer pays the accident and health insurance premiums for its employees. The premiums paid but the employers are

deductible to the business

Making a statement that is false or maliciously critical of the financial condition of an insurer is known as

defamation

(always get wrong) A qualified profit-sharing plan is designed to

distribute a portion of company earnings t its employees

Employer-paid qualified long-term care insurance premiums are typically

excluded from the employee's gross income

Emily is dibbled. In order to become eligible for Social Security Disability income benefits, she must be

fully insured, according to Social Security

(always get wrong) Federally qualified HMO's must offer

family planning services

Insurable interest in one's own life is legally considered as

generally unlimited

(always get wrong) A medical fees schedule shows the amount an insurer will pay for a given procedure. This amount is considered to be the

highest amount payable

(always get wrong) XYZ Corp has implemented a qualified retirement plan. This plan may NOT discriminate.

in favor of highly compensated employees

Incontestable Clause

is a clause in most life insurance policies that prevents the provider from voiding coverage due to a misstatement by the insured after a specific amount of time has passed.

After an insurance application has been originated, the producer normally

is the major personal contact to the insured

the initial premium for a life insurance policy is typically paid in what way?

it is typically obtained by the producers and forwarded to the insurer

(always get wrong) Laura added a children's rider to her life insurance policy. What type of coverage was added?

level term

Field underwriting by a producer

may result in the disclosure of hazardous activities of the applicant

The PRIMARY propose of the replacement rule is to

protect policy owners from misrepresentations and loss of benefits

Waiver of Premium Rider

pays all life insurance premiums due if the insured person becomes disabled.

Mark is covered by a policy that uses the regular occupation (own-occ) definition of total disability. Using this definition, he will be considered disabled if unable to

perform the substantial and material duties of his regular occupation

A life insurance guaranteed insurability rider gives the insured the right, without proving insurability, to

periodically purchase additional insurance

A life insurance policy's contingent beneficiary is the

person who receives the death benefits if the primary beneficiary dies before the insured

A health insurance applicant is notified that a physical examination is required. Which of the following statements is correct?

physical examinations are performed at the expense of the insurer.

A signed good health statement may be requested by a life producer at the time of

policy delivery

Which action will trigger a penalty tax on premature distributions from a modified endowment contract (MEC)?

policy loans

Pointing out to a prospective client that the life insurance policy you are presenting is covered by the Connecticut Life and Health Insurance Guaranty Association is

prohibited by law

(always get wrong) A certificate of coverage for a group health policy is best described as

proof of coverage for the employee

(always get wrong) In the process of obtaining insurance, a statement made by an applicant that becomes part of the contract is considered to a be

representation

(always get wrong) Statements made by an insured on an accident and health insurance application are considered to be

representations

Third-party administration has become fairly common in accident and health insurance due to the growth of

self-funding benefits

When issuing disability income coverage to a substandard risk, an insurance company may

shorten the benefit period

Contributions made by an employee to a qualified retirement plan are required to be

subject to a vesting schedule

The premiums paid by an employer for his employee's group life insurance are usually considered to be

tax-deductible to the employer

Under the key person disability income policy, benefits will be received as

tax-free income to the business

An insurable risk requires

that the loss must be incalculable

Which statement concerning the Entire Contract provision in an individual accident and health insurance is true?

the agent doesn't have the authority to change the policy or waive its provisions

Which factor determines the maximum disability income benefit that can be purchased by an applicant?

the applicant income

In order to contribute to a Health Savings Account (HSA)

the applicant must be enrolled in a High Deductible Health Plan (HDHP)

Fee-for-service is a method of administering health insurance benefits payments in which

the cost of each service is scheduled

(always get wrong) Which of the following is the BEST candidate for a temporary insurance license?

the executor of the estate of a deceased licensed producer

(always get wrong) A life insurance illustration showing future premiums being paid out of non guaranteed values must disclose that

the policy owner may need to resume premium payments depending on actual results

(always get wrong) The reason for backdating a policy is

to obtain a premium rate based on an earlier age

The owners cost basis for a non-qualified deferred annuity is typically the same as the

total premiums paid

(always get wrong) What is the face amount of a $50,000 graded death benefit life insurance policy when the policy is issued?

under $50,000 initially, but increases over time

In an individual retirement account (IRA), rollover contributions are

unlimited by dollar amount

An insurance policy that can also be classified as a securities product is called

variable life

(always get wrong) Which of the following best describes the presumptive disability provision?

waives the typical total disability requirements

During the application process, a statement made by an applicant that becomes part of the contract is considered to be an

warranty


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